HomeMy WebLinkAboutPermit Electrical 2003-1-30
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. ..,';. ~-'il~25 FIFTH.STREET :-- .. ~~ Ji.~ ].
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. 3:.COMPLETE FEESCHEDDifBELEl\V: . $C~:t~~':."!~~'~
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A~ Ne,,' Residential'Single or'.'" -~".,:.' - .,. .._.,..:;t;;a:.~~",-;
Multi.Fa'mily pcr dwelling unit. '.~:
LEGAL DESCRIPTION Service Included. '~.l!'~
170Z. 34(1 IY700 \o\\o"'W'~ Items Cost S~~;
JOB DESf:JliPTION /7....5: s>,)'O...\'C.:~;;"~~\:foO >,)S:OO q.ft. or less .L $106.00 )f~
/17)/A.Se 1/ I r~c\~sAo.>,)\,e acll, ditionaI500'''k}.1
~ V' - f\V' 11 ~ '"r:;'.~' ~1'
~, 'O\\O~\fi 60e'b ,~ or ortion IJ :.~f{.~~
Permits are 11?n.transferoble<8I1ll'gxpire . 0 '" ~ $ 19.00 'P'O.:
'f k . ' , d 'lIf"\fo L-'d .^"">..... . \ .f. . .
1 wor'lsnotslarte WIt l1>1U'" ~\~W~ /'/: 'L,,", k~ "~;.:,
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of Issuance ;~I1:1fwor' IS suspende or . LV 0 ~lar \\'e1lng J~~~i1.~t-__,~_.. :V-:"f:~~::.
180 days. :c:;;>:.: . foe\>,),e ServIce or Feeder . >i'i"I"'~.t~(.> $ 50.00 . "i\i';".>'
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t.'~~ :oJ.' .,(\1.00 ;~~~' ~~~" .,;.-:r'~:i'~" ':A~~
2. CONTRA.!;I'OR ~ST ALLA'I10N ONLY B. Servicc~ or Feeders ij;l:~:" i;;}~~4L; . .,';~'f-;~
11.';"'" '. " "~ I II' AI ....1',-,.:.",.~..l\1 ....<,~.-;;~1'.<\:, ,"~':.1~l\\<.
~,~'.l;;:. ~',:)" II \ nsta o1tlOo, terahol1s,Qri1!i'~.'~'.t,;~:-.~::~,.',i\;',', : ::i~'j-.i-'
Eleclricari:,gn:&acto;1:.,.'.jPiAlN S 1..- el~ R\(, . Relocation: ..'" ..,~[~:~):?~\;:~,;, ~~.~
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Address ,~, ,tH,; ~tI.;"" ':;' lS:::> . 200 amps orlesF" ''''~2''1!;~r63;9-9~'''~'~
~ ~ ~i~t.\D')... 201 amps to 400 am <'''NJ$~5,b:0::;);.;"r~
City_1 :'~Jfl~~?i:rfone '1, 401 amps t~,9bd ~~ }i"!#,!r!ii~~t~~
. ~; ~~. . "', pal amps l~APpq,~ '. '; ~~1!?t2P,'~~
Supervisor;cicense;Numoer .t!t~ Over 1000.amps/vol "~'!'d$3s75WO~~---I\"',,,1
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. Expiration Date b~:f'ri'~li'
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'ii;~~~l,ir~,of SUJlcn-ising Electrician
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.-g"jt'~fL- 'r~:ftj- .,.... ."'1l.",r~~.....~$"r', '':.0'' 4'
E';~li~A~~1ii~nal 6!rcu_~t or With-:~~~~~1.~~f{f~?~~~~~:~.:~~:~~~4~;"
or Fe"eder Permit . .j~"!:. . .~.).:$ 3.00.r' .';.....~;:
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t~~~ef\~\11i.:~i'R 1 HIS PEI\M\i~~~;/
Si~~~ie\1J~. 1~\S r..Bi\1'40~ $5009 =.
mnlrtAMEit1i . ~EP.IOO. _ $25.00 _
Li\(\j\kclls!;l, __ ~mm _ $45 00 -.--:
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n-linimum Electric Permit ~~si}cction Fcc b; $45.00 + Surcharges
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4. SUBTOTAL OF ABOVE
7% State Surchargc . .
10.% ,..l!'% Administrativc Fcc"
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01256
ISSUED: 11/25/2002
APPLIED: 10/31/2002
EXPIRFS: 07/28/2003
VALUE: $ 164,111.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6721 Jacoh Ln
ASSESSOR'S PARCEL NO.: 1702341114700
Springfield TYPE OF
Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: SFR
Owner: DAVE POKlVITAS
Address: 37519 WALLACE CREEK RD SPRINGFIELD OR 'Y/477
Phone Number: 541.953-4182
Phone Number: 541-953-4182
Phone Number: 541.953-4182
Phone Number: 541-741-8072
I CONTRACTOR INFORMATION 1
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
Role Type Null
Contractor License Expiration Date
VINCE JAMES BURROUGHS 147979 ~ ,,0\)06164/2003
0';,.1' ,\",. .A\
DIVERSIFIED ELECTRONICS INC 144685 o..~\\ 0(\ \:06/23I2~04
MARSHALLS INC 257~O,\e; O~0<:$ ,0 -n/23n003
~",. 0 ~, b'" \J'
DAVE POKlV1TAS 0(\ N'S' '/.,0'" !?-g ~\e'"
PRECISION PLUMBING INC .O\e~,f6ih8~e\~ ~O~ ~Oli08l211%4<,
VINCE JAMES BURROUGHS _,,,\\O~~oo~_: :<-~~,,\o~~o!:. 0' ,e\0~~:c,~~O
BUlLDING'INROiiMAiI0N i~(\ ~~\0'~~~,\ ~~,.
,O\~-\c,~'-'- a:\l- NO"'e\'~ (\\)~ _7,~
# of ~<&~s:~ ~~ ~ ~0' c,e(\~ \e<ft ~~.frot Size:
Heiglit!,p~():tO .;s.e,.;s.eC'zz,SfP Sq Ftlst Floor:
Type or tl~at:~'~~tce"'<h-WGas Sq Ft 2nd Floor:
Water Type:C, ~'Oe Ge(\ Gas Sq Ft Basement:
Range Type:(\~ Electric Sq Ft Garage/Carport
Energy Patb: Path 1 Sq Ft Other:
Impervious Surface Area:
Phone
54 I -953-4182
54 I -484-9078
541-747-7445
541-953.4182
(541)736-8690
541-953-4 I 82
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
1
R-3
U-l
VN
VN
3
10,818
1,965
894
I DEVELOPMENT INFORMATION I' \~r:::;<:0~
.' ~~l:}~DPARK1NG
Overlay Dist: Hillsid.~~\<:0~ ~i'a~\)<:0 2
# Street Trees \5.4" 1\S ~ -'ii,,!.lhcapped:
Paved Drive Rqd: c.' Sy.,~~~(k. \>(\ ,,-~\)~~mpact:
..,I:,\.' ~,,\\ >-,\\,"<' ~'OI"'
% of Lot COv\?~~ ~~<:0\"'\\) \')\ 1'1.o.a
\y.,\':v.\)<:0~rx.\) \)~~~\)\).
!PUBLlC IMPROVEM~S..\-t'\\~ \)~'
" ~,'l, .
F II I d "-" SIdewalk Type:
u y mprove r Curbside 5'
Yes Downspouts/Drains Curb and Guller
Complete and submit overwidth driveway permit. Approval is required before permit ean be
issued.
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
11.00
52.00
10.00
Rearyard Setback:
Solar Setbacks:
16.00
to.OO
Street
Storm Sewer,AwilahIe:
Special Instruction:
Notes:
1 of 4
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Dwellings
Garage
Type of Construction
V Wood Frame
Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 5% San & Storm Admin Fee
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut - Overwidth Appl
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplaee
Gas Outlets 1-4
Plan Review - Planning
PW Mult Disc - 2nd Permit
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC Sanitary Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or les$
Vent Fan
Willamalane Single Family
+ 10% Administrative Fee
+ 7% State Surcharge
Low Voltage - Residential
Minimum/Adjustment Electrical
+ 10% Administrative Fee
+ 7% State Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01256
ISSUED: 11125/2002
APPLIED: 10/31/2002
EXPIRES: 07/28/2003
VALUE: $ 164,111.00
I Valuation Descriotion I
SPer SqFt
$74.60
$19.60
Square Footage
1,965.00
894.00
Value
$146,589.00
$17,522.40
$164,11 1.40
Date Calculated
10/31/2002
10/31/2002
Total Value of Project
lFees Paid I
Amount Paid
$504.99
$10.00
$173.48
$254.00
$8.00
$776.90
$35.00
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$55.00
$.30.00
$402.96
$530.16
$10.00
$34.83
$.1.41
$124.65
$48.83
$709.81
$160.87
$75.00
$1,289.44
$50.00
$18.00
$1,000.00
$4.50
$3.15
$25.00
$20,00
$18.20
$12.74
$106.00
$76.00
Date
Receipt Number
10/31/02
11125/02
11125/02
11125/02
11125/02
11125/02
11125/02
11125/02
11125/02
11125/02
11125/02
11125/02
11125/02
11125/02
11125/02
11125/02
11125/02
11125/02
11/25/02
11125/02
11125/02
11125/02
11125/02
11/25/02
11/25/02
11125/02
11125/02
11125/02
11125/02
1/27/03
1/27/03
1/27/03
1/27/03
1/29/03
1/29/03
1/29/03
1/29/03
2 of 4
1200200000000000168
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000295
1200200000000000610
1200200000000000610
1200200000000000610
1200200000000000610
1200200000000000624
1200200000000000624
1200200000000000624
1200200000000000624
.
. CITY OF SPRlL~u1<lliLD
Building/Combination Permit
PERMIT NO: COM2002-01256
ISSUED: 11125/2002
APPLIED: 10/31/2002
EXPIRES: 07/28/2003
VALUE: $ 164,111.00
,......./
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount
$6,627.10
I Plan Reviews I
Initial Review 11/01/2002 1lI0 1/2002 APP LLH
Planning Review 1lI0 1/2002 11/05/2002 APP AJD
Public Works Review 1lI0 1/2002 1lI1l12002 OK DPE Complete overwidth driveway
permit before issuing permit
Structural Review 1lI0 1/2002 11/14/2002 OK TCM
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Reouired Insoections J
I Sidewalk - Curbside: After forms are erected but prior to pIaeement of conerete.
2 Curbcut - Overwidth: After forms are erected but prior to plaeement of eoncrete.
3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
4 Footing: After trenches are excavated.
5 Foundation: After forms are erected but prior to concrete placement.
6 Post and Beam: Prior to floor insulation or decking.
7 Floor Insulation: Prior to decking.
8 Shear Wall Nailing: Before covering sheathing with finish materials.
9 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
10 Walllnsulation: Prior to cover.
11 Ceiling Insulation: Prior to cover.
12 Drywall: Prior to taping.
13 Final Building: After all required inspections have been requested and approved and the building is complete.
14 Underfloor Plumbing: Prior to insulation or decking.
15 Underfloor Drain: Prior to cover or placement of concrete.
16 Rough Plumbing: Prior to cover and including required testing.
17 Water Line: Prior to filling trench and including required testing.
18 Sanitary Sewer Line: Prior to filling trench and including required testing.
19 Storm Sewer Line: Prior to filling trench.
20 Final Plumbing: When all plumbing work is complete.
21 Underfloor Mechanical. Prior to insulation or decking and including required testing.
22 Rough Gas: After line is installed and required testing and eapped if not attached to an appliance.
23 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
24 Rough Meehanical: Prior to Cover
25 Final Gas: When all gas work is complete.
26 Final Mechanical: When all mechanical work is complete.
27 Rough Electric: Prior to Cover
28 Eleetric Service: Approval required prior to utility company energizing service.
29 Final Electric: When all electrieal work is complete.
30 Low Voltage: Prior to cover.
3 of 4
.
.
CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2002-01256
ISSUED: 11/25/2002
APPLIED: 10/31/2002
EXPIRFS: 07/28/2003
VALUE: $ 164,111.00
By signature, I state and agree, that I have carefuDy examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division,
Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.0OS wiD be
used on this project.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from
the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site
at all times during CllllStruCtion.
Owner or Contractors Signature
Date
4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2002.01256
COM2002.0 1256
COM2002.01256
COM2002.01256
Payments:
Type or Payment
Check
Paid By
Receipt #: 1200200000000000624
Date: 01/29/2003
Description
Residence Wiring 1000 Sq Pt
Residence Wiring Ea AddIl 500
+ 7% State Surcharge
+ 10% Administrative Pee
Received By
Cheek Number Coofirm No
DEANS ELECTRIC
djb
Page I ofl
1/29/2003 .
9:39:16AM .'
City of Springfield
Development Services Department
Public Works Department
Official Receipt
.
Amount Paid
106.00
76.00
12.74
18.20
Line Item Total:
$212.94
How Received
Amount Paid
In Person
.
Payment Total:
212.94
$2 I 2.94
cReceipt.rpt